{ "name": "ANSI X12 Test Data", "description": "Structurally complete X12 837P claim documents (ISA, GS, ST, BHT, NM1, CLM, SE, GE, IEA) with varying control numbers. Synthetic claims; not real patients or payers.", "source": "https://stanzaapi.com/datasets/x12", "license": "CC0-1.0", "validity": "structurally-synthetic", "size": "large", "count": 2500, "columns": [ "control_number", "transaction_set", "claim_id", "document" ], "rows": [ { "control_number": "794419532", "transaction_set": "837P", "claim_id": "CLM264702", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260825*1200*^*00501*794419532*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260825*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM264702*20260825*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*795634777~\nNM1*40*2*SYNTHETIC RECEIVER*****46*240221598~\nCLM*CLM264702*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*794419532~\nIEA*1*794419532~" }, { "control_number": "784640802", "transaction_set": "837P", "claim_id": "CLM811280", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20261101*1200*^*00501*784640802*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20261101*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM811280*20261101*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*205374220~\nNM1*40*2*SYNTHETIC RECEIVER*****46*855652365~\nCLM*CLM811280*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*784640802~\nIEA*1*784640802~" }, { "control_number": "011251481", "transaction_set": "837P", "claim_id": "CLM940521", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260122*1200*^*00501*011251481*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260122*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM940521*20260122*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*157247659~\nNM1*40*2*SYNTHETIC RECEIVER*****46*118094636~\nCLM*CLM940521*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*011251481~\nIEA*1*011251481~" }, { "control_number": "699807601", "transaction_set": "837P", "claim_id": "CLM352635", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260928*1200*^*00501*699807601*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260928*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM352635*20260928*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*139553101~\nNM1*40*2*SYNTHETIC RECEIVER*****46*920901335~\nCLM*CLM352635*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*699807601~\nIEA*1*699807601~" }, { "control_number": "311118618", "transaction_set": "837P", "claim_id": "CLM851877", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260115*1200*^*00501*311118618*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260115*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM851877*20260115*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*650081213~\nNM1*40*2*SYNTHETIC RECEIVER*****46*743690622~\nCLM*CLM851877*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*311118618~\nIEA*1*311118618~" }, { "control_number": "094526429", "transaction_set": "837P", "claim_id": "CLM054354", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260628*1200*^*00501*094526429*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260628*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM054354*20260628*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*739328415~\nNM1*40*2*SYNTHETIC RECEIVER*****46*165346859~\nCLM*CLM054354*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*094526429~\nIEA*1*094526429~" }, { "control_number": "146545786", "transaction_set": "837P", "claim_id": "CLM031847", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260227*1200*^*00501*146545786*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260227*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM031847*20260227*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*635299165~\nNM1*40*2*SYNTHETIC RECEIVER*****46*118523294~\nCLM*CLM031847*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*146545786~\nIEA*1*146545786~" }, { "control_number": "742808326", "transaction_set": "837P", "claim_id": "CLM999938", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260106*1200*^*00501*742808326*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260106*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM999938*20260106*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*195145354~\nNM1*40*2*SYNTHETIC RECEIVER*****46*715987776~\nCLM*CLM999938*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*742808326~\nIEA*1*742808326~" }, { "control_number": "701164603", "transaction_set": "837P", "claim_id": "CLM452991", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20261005*1200*^*00501*701164603*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20261005*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM452991*20261005*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*584109764~\nNM1*40*2*SYNTHETIC RECEIVER*****46*740679075~\nCLM*CLM452991*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*701164603~\nIEA*1*701164603~" }, { "control_number": "789392736", "transaction_set": "837P", "claim_id": "CLM067709", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260123*1200*^*00501*789392736*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260123*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM067709*20260123*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*986836343~\nNM1*40*2*SYNTHETIC RECEIVER*****46*375528274~\nCLM*CLM067709*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*789392736~\nIEA*1*789392736~" }, { "control_number": "761600855", "transaction_set": "837P", "claim_id": "CLM623378", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260716*1200*^*00501*761600855*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260716*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM623378*20260716*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*196701586~\nNM1*40*2*SYNTHETIC RECEIVER*****46*020968892~\nCLM*CLM623378*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*761600855~\nIEA*1*761600855~" }, { "control_number": "321782109", "transaction_set": "837P", "claim_id": "CLM702966", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20261102*1200*^*00501*321782109*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20261102*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM702966*20261102*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*446692471~\nNM1*40*2*SYNTHETIC RECEIVER*****46*998636227~\nCLM*CLM702966*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*321782109~\nIEA*1*321782109~" }, { "control_number": "257196099", "transaction_set": "837P", "claim_id": "CLM582310", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260219*1200*^*00501*257196099*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260219*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM582310*20260219*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*863003631~\nNM1*40*2*SYNTHETIC RECEIVER*****46*033826140~\nCLM*CLM582310*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*257196099~\nIEA*1*257196099~" }, { "control_number": "342246391", "transaction_set": "837P", "claim_id": "CLM478369", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260221*1200*^*00501*342246391*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260221*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM478369*20260221*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*478864481~\nNM1*40*2*SYNTHETIC RECEIVER*****46*213628612~\nCLM*CLM478369*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*342246391~\nIEA*1*342246391~" }, { "control_number": "680914022", "transaction_set": "837P", "claim_id": "CLM123615", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260113*1200*^*00501*680914022*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260113*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM123615*20260113*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*139963252~\nNM1*40*2*SYNTHETIC RECEIVER*****46*138323932~\nCLM*CLM123615*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*680914022~\nIEA*1*680914022~" }, { "control_number": "165946928", "transaction_set": "837P", "claim_id": "CLM533361", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260725*1200*^*00501*165946928*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260725*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM533361*20260725*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*045979893~\nNM1*40*2*SYNTHETIC RECEIVER*****46*869908181~\nCLM*CLM533361*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*165946928~\nIEA*1*165946928~" }, { "control_number": "121629969", "transaction_set": "837P", "claim_id": "CLM028471", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260712*1200*^*00501*121629969*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260712*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM028471*20260712*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*535047791~\nNM1*40*2*SYNTHETIC RECEIVER*****46*170008784~\nCLM*CLM028471*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*121629969~\nIEA*1*121629969~" }, { "control_number": "044485594", "transaction_set": "837P", "claim_id": "CLM803850", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260513*1200*^*00501*044485594*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260513*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM803850*20260513*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*960913501~\nNM1*40*2*SYNTHETIC RECEIVER*****46*651505555~\nCLM*CLM803850*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*044485594~\nIEA*1*044485594~" }, { "control_number": "132671764", "transaction_set": "837P", "claim_id": "CLM076584", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260921*1200*^*00501*132671764*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260921*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM076584*20260921*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*761294460~\nNM1*40*2*SYNTHETIC RECEIVER*****46*308506277~\nCLM*CLM076584*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*132671764~\nIEA*1*132671764~" }, { "control_number": "594003237", "transaction_set": "837P", "claim_id": "CLM063883", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20261227*1200*^*00501*594003237*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20261227*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM063883*20261227*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*941372966~\nNM1*40*2*SYNTHETIC RECEIVER*****46*004970121~\nCLM*CLM063883*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*594003237~\nIEA*1*594003237~" }, { "control_number": "563595601", "transaction_set": "837P", "claim_id": "CLM836327", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20261111*1200*^*00501*563595601*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20261111*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM836327*20261111*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*040673661~\nNM1*40*2*SYNTHETIC RECEIVER*****46*065646927~\nCLM*CLM836327*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*563595601~\nIEA*1*563595601~" }, { "control_number": "403157726", "transaction_set": "837P", "claim_id": "CLM494762", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260110*1200*^*00501*403157726*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260110*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM494762*20260110*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*066482821~\nNM1*40*2*SYNTHETIC RECEIVER*****46*652321199~\nCLM*CLM494762*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*403157726~\nIEA*1*403157726~" }, { "control_number": "507766695", "transaction_set": "837P", "claim_id": "CLM646296", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260707*1200*^*00501*507766695*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260707*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM646296*20260707*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*881690695~\nNM1*40*2*SYNTHETIC RECEIVER*****46*393852540~\nCLM*CLM646296*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*507766695~\nIEA*1*507766695~" }, { "control_number": "363739125", "transaction_set": "837P", "claim_id": "CLM915128", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260219*1200*^*00501*363739125*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260219*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM915128*20260219*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*061496799~\nNM1*40*2*SYNTHETIC RECEIVER*****46*881972251~\nCLM*CLM915128*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*363739125~\nIEA*1*363739125~" }, { "control_number": "987117504", "transaction_set": "837P", "claim_id": "CLM762069", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20261108*1200*^*00501*987117504*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20261108*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM762069*20261108*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*662043365~\nNM1*40*2*SYNTHETIC RECEIVER*****46*905942122~\nCLM*CLM762069*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*987117504~\nIEA*1*987117504~" }, { "control_number": "851079201", "transaction_set": "837P", "claim_id": "CLM562935", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20261001*1200*^*00501*851079201*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20261001*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM562935*20261001*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*197540915~\nNM1*40*2*SYNTHETIC RECEIVER*****46*102715878~\nCLM*CLM562935*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*851079201~\nIEA*1*851079201~" }, { "control_number": "494280658", "transaction_set": "837P", "claim_id": "CLM160577", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260817*1200*^*00501*494280658*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260817*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM160577*20260817*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*596933330~\nNM1*40*2*SYNTHETIC RECEIVER*****46*982542766~\nCLM*CLM160577*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*494280658~\nIEA*1*494280658~" }, { "control_number": "629899636", "transaction_set": "837P", "claim_id": "CLM213653", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER 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*20260418*1200*^*00501*622432348*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260418*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM926609*20260418*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*227202501~\nNM1*40*2*SYNTHETIC RECEIVER*****46*542372374~\nCLM*CLM926609*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*622432348~\nIEA*1*622432348~" }, { "control_number": "598432242", "transaction_set": "837P", "claim_id": "CLM660928", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260328*1200*^*00501*598432242*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260328*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM660928*20260328*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*552256773~\nNM1*40*2*SYNTHETIC RECEIVER*****46*429629605~\nCLM*CLM660928*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*598432242~\nIEA*1*598432242~" }, { "control_number": "868329485", "transaction_set": "837P", "claim_id": "CLM798506", "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260628*1200*^*00501*868329485*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260628*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM798506*20260628*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*057422269~\nNM1*40*2*SYNTHETIC RECEIVER*****46*835762830~\nCLM*CLM798506*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*868329485~\nIEA*1*868329485~" } ] }